Dr Fredy H Cordova, MD | |
766 Hl Ross Dr, Monticello, AR 71655 | |
(870) 367-6246 | |
(855) 926-7383 |
Full Name | Dr Fredy H Cordova |
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Gender | Male |
Speciality | Family Medicine |
Location | 766 Hl Ross Dr, Monticello, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548464993 | NPI | - | NPPES |
2137654 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD204318 (Louisiana) | Secondary |
207Q00000X | Family Medicine | E-10275 (Arkansas) | Primary |
Entity Name | Mainline Health Systems, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922727726 PECOS PAC ID: 5193785590 Enrollment ID: O20041011000567 |
Mailing Address | Practice Location Address |
---|---|
Dr Fredy H Cordova, MD Po Box 509, Dermott, AR 71638 Ph: (870) 538-5414 | Dr Fredy H Cordova, MD 766 Hl Ross Dr, Monticello, AR 71655 Ph: (870) 367-6246 |
Jeffrey Hunter Reinhart, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Jordan Dr, Monticello, AR 71655 Phone: 870-460-9777 Fax: 870-460-4790 | |
Dr. Joseph Michael Fakouri Jr., M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 906 Roberts Dr, Monticello, AR 71655 Phone: 870-367-6867 Fax: 870-367-2228 | |
Dr. Timothy M Simon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 906 Roberts Dr, Monticello, AR 71655 Phone: 870-367-6867 Fax: 870-367-1461 | |
Mrs. Sandra Sheiron, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 733 Roberts Dr, Monticello, AR 71655 Phone: 870-367-3246 Fax: 870-367-3271 | |
Blayne Ellis Beene, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 535 Jordan Dr, Monticello, AR 71655 Phone: 870-367-6246 | |
Dr. Sylvia Simon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 906 Roberts Dr, Monticello, AR 71655 Phone: 870-367-6867 Fax: 870-367-1461 |